This pi is for the first surgical intervention for wound management.In the journal of the american podiatric medical association september 2016 volume 106, a poster abstract reports the following: "cast study: a (b)(6) female presented with a painful pes planovalgus deformity.Using titanium alloy hardware consisting of the stryker anchorage plating system and 7.0mm stryker headless compression screws.A medial displacement calcaneal osteotomy and a first metatarsal-cuneiform arthrodesis was performed.[three weeks post operatively] there was still erythema [reddening of the skin] present not typical with this post-operative course.By the fourth post-operative week, the first metatarsal-cuneiform arthrodesis incision had dehisced with hardware exposed and the patient began to develop hives on her back.She was admitted to the hospital for aggressive wound management and surgical exploration.The patient underwent a second procedure for surgical debridement and delayed primary closure.Ten days after the debridement and closure revealed a larger erythematous reaction at both surgical sites.She was referred to an allergist.Positive results were detected for titanium and vanadium allergy.Throughout the course, she underwent multiple procedures for debridement and removal of all internal fixation.".
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